Customer Service Specialist

at  Carewise Health Inc

The Call Center Specialist primary purpose is to provide professional administrative support to a team of health care professionals. As a Call Center Specialist you will support the team through a variety of tasks ensuring contractual obligations are delivered accurately, with high quality, and in a timely manner.

JOB QUALIFICATIONS

• Minimum 2 years work experience
• Strong knowledge of medical coding and healthcare terminology a plus
• Typing skills and working knowledge of MS Office applications required.
• Preauthorization experience helpful
• Knowledge of claims processing, diagnosis codes and prior interaction with healthcare providers, billing protocols, a plus
• Medicare and Medicaid billing experience, a real plus.

QUALIFIED CANDIDATES MUST COMPLY WITH THE FOLLOWING REQUIREMENTS:

• No felony convictions, drug or weapons violations. No elevated misdemeanor violations or any level of violation involving physical violence.
• Candidates must successfully complete a 7-year pre-employment background check.
• Candidates must submit to pre-employment drug screening.
• Ability to work with minimal supervision.
• Positive personality traits, team oriented work ethic, and a great customer service attitude a plus.

• Performs initial telephone and facsimile screening
• Provides excellent communication and customer service
• Proficient in critical thinking and problem solving
• Provides appropriate non-clinical issue resolution and escalation of issues when needed
• Ability to multi-task with several initiatives while exceeding performance expectations
  Required Skills